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The darker side of being a doctor

282 points · 342 comments · Danhale93

  1. abc123abc123 · · focus · HN ↗
    "You might ask, why can’t you work less? It’s not as easy as that. If I decide to work less, who is going to cover the hospital? If the hospital aren’t employing other doctors, we can’t allow patients to go uncovered. I accept the fact that I have a duty of care to be on call. The intensity and personal damage of these on call periods are often forgotten."

    This is a very short sighted and immature way of looking at responsibility and your "calling".

    Yes, if you are not there, things will not happen. That is for the long term best. By thinking that it is your duty to be there, despite the state you are in, you are actually contributing to entrenching the situation you are in. That is error nr 1. Error nr 2 is that you are not fit for fight and are risking life and limb of others.

    The only sane and long term way to deal with this is to opt out, and let the system crash, so that politicians (or hospital owners in case of private hostpitals) will add more resources. If you refuse this, you are sacrificing yourself for nothing.

    Doing this take courage, resolve and maturity.

    "Not only that, we are losing control of health care in general. Everyday, there’s a new form, a new guideline, a new protocol, a new health software, a new policy all dictating, restricting and modifying clinician activities. Some of these policies are written by people who do not see patients. There’s a whole paid industry dedicated to restructuring what doctors and nurses do to reduce costs and increase output."

    This is just the corporate world. At least in IT. In terms of stupid web based training, it is best handled by dividing up the training and compiling a list of answers. Then the answers are distributed among the entire team. You only need to do one training, and the rest you click straight through to the questions. It used to save me and my team hours and hours every month.

    This assumes you are mature and capable enough to identify that the courses are clearly nonsense and only there to please managers and button pushers. This was the case for 99.9% of all web based training I've ever had that I did not choose myself to do.

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